What Anesthesiologists do after Intubation - My Mnemonic
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- Опубліковано 6 лип 2024
- What do anesthesiologists do after starting a surgery? In this video, I describe my initial to-do list in the form of a mnemonic that I made!
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0:00 Start
00:38 Overview
02:57 Antimicrobials
03:54 Bair hugger
04:43 Change vent settings
05:11 Drain stomach
05:42 Emesis prevention
06:02 Fahrenheit
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
#Anesthesiology #Residency #MedicalSchool - Наука та технологія
![Lp. Последняя Реальность #97 ЧЁРНАЯ МАТЕРИЯ [Анти Скинт] • Майнкрафт](http://i.ytimg.com/vi/k4MjXCzKsYw/mqdefault.jpg)
My answer before watching the video: They monitor the ever-living snot out of the patient and make subtle adjustments as needed in order to maintain that sweet spot where the patient is paralyzed and unfeeling but not starting to die.
pretty accurate
It's been said the anesthesiologist is the most qualified person in the room during sugery.. Fun fact; most hospitals before anaesthesia located operating theaters on the top floor so that the screaming wouldn't carry into the streets.
Either the top floor or a whole other builiding several meters away from the main one.
Or even possibly the basement.
@@Aawsomeguy lol….basement normally are for the dead😂😂….but i get what you men though
@@chakritsasorn yea we get what you men 😂😂🤣
@@Aawsomeguy 0 ko
My sister is an anesthesiologist and your videos have really shown me just how complicated her job is. I myself have had over 50 surgeries and I appreciate this inside look at what really happens to me.
Over 50? How????
Why the hell has everyone had so many surgeries? I am 37 and I haven't had a single one.
@@looksirdroids9134 good for you that you're in peak physical health and an alpha individual
50 🤔
@@theprmstrful1 I have a lymph node disease and cancer plus the basics like appendix, gallbladder, c-sections and 5 eye surgeries. It adds up quick.
Max, what I love about your videos is that they help me as an anesthesia tech learn more in depth what my providers mental checklists are & how I can always be one step ahead to assist them.
Its so obvious you love your profession. And we are lucky to have you
I like how creative you are to keep the us entertained as we learn. Stay humble! Love your videos!
F could be Fever or Freezing?
Dr. Max that is quite ingenous. While this may seem simple to some, your approach covers a great deal of important detail, that might otherwise get over looked! You need to recommend ALL doctors learn their ABCs! Great video!
Air Book Chair
Door, Eyes, Flights
I know your videos aren't targeted at patients, but this level of detail is exactly the kind of thing I am seeking. I am scheduled for anterior/posterior lumbar fusion and a laminectomy in less than a month, and for some odd reason, I've been obsessed with knowing all the facts of the General anesthesia and the associated details.
Great job on the video and the many others you've publish ed!
The first time I read your comment, for some reason I thought it said "lumber fusion" which sounds like a terrible operation for someone to endure!
@@User0000000000000004 that IS what he said, and there is a painful recovery afterwards.
Me too
Lumbar fusion??!!.....Have you tried EVERY other option? Don't mean to scare you but that isn't for the faint of heart!
@@kendallevans4079 I definitely tried every other option. It's been 15 months since I had the surgery, and I am happy that I had it done.
It is a painful recovery!
I liked the way to remember those basics. I can't speak for anyone else, but for me I know that in your job you have a lot to consistently monitor. One of the first things I want to know when I have surgery is WHO IS MY ANESTHESIOLOGIST.
You and your colleagues do great work; and we patients appreciate these videos because none of you talk to us much while we're actually with you. So, thanks!
Sit and read the newspaper? Wow Dr Feinstein you look great for 84 years old!
Props on the logo - much better than the vanity license plate on a late model BMW reading “INTUBATR”
Should have millions of subs...so humble...I wish he could induce me in a couple weeks
I love your videos!!! Keep up the awesome work Dr Feinstein!!👍😊
Never forget in nurses training in surgery (1965) seeing the anesthesiologist who was also editor of state medical journal sitting with legs crossed pumping a breathing bag with one hand while holding the medical journal on his lap with other hand reading it
thank you Dr for these videos. You explain in a natural way that sticks to memory
I watch every video hoping you were my next anesthesiologist! You are a consummate professional! Thank you for all the videos! Logo is great!
Love Dr. F's videos they are amazing.
I appreciate your videos. I'm not a student but I am a patient who has had 5 abdominal surgeries with my last one two weeks ago. I have always wanted to know exactly what happens when I am off in sleepy land. Thank you so much! ☺️🩺🥼👨⚕️
Great Dr.........You are Light For The Future, thanks for that piece, educative and fun🙏🏻
I love your explanations. Thank You.
BEST AND EASY. Thank You Dr.
Hey DOC, I JUST WANTED TO SAY THAT I LOVE YOUR VIDEOS AND BEING IN THE MEDICAL FIELD I STILL LEARN A LOT FROM YOU. I WAS A CORPSMAN IN THE MILITARY, WHICH IS A BATTLEFIELD MEDIC AND I ALWAYS LIKE TO LEARN MORE. THAT IS WHY THEY SAY THAT DOCTORS PRACTICE MEDICINE, BECAUSE THEY ARE ALWAYS LEARNING. THANK YOU FOR WHAT YOU DO
It’s crazy how much I love these videos! I’m not even remotely in the medical field! They are so interesting!
Glad you found them so enjoyable!
Thank you for this video! I like your sense of humor!
Thank you so much , video very informative very educational.
Great video man! I love the new logo! I learned a lot!
Thanks Darrion, I appreciate it!
@@MaxFeinsteinMD you welcome
I'm having abdominal surgery in August, and I am going to have to force myself to not grill the anesthesiologist on these 😂
Don’t worry about it ❤️when I had my operations I would ask so questions they don’t mind
My dad is a paramedic and he brought his CRNA a crossword puzzle book when he got his rotator cuff done.
Ask fo propofol please milk looking at him right in the eye !? 99 per cent of aneasthetic is fine so don’t worry you’ll have a good Nap & wake up in recovery or not remember & then wake up back in youre Bed x
It’s A very rare thing for a patient to wake up especially in a big operation so don’t worry mention youre fears & hell he will listen & you are going to be Fine I promise you to wake up it’s very very rare in an Abdominal operation Cos you will be given relaxants which make sure you don’t wake up x
Loving the new logo chief 👌🏻
Thanks Nick!
these mnemonics are already in my muscle memory and im sure many seasoned anesthesiologists have done these without even thinking. im sure many would agree, that post induction is all about time control.working out phamacokinetics of TCIs and inhalationals and anticipating the next time reducing manoeuvres are the key to reducing cost and morbidity.
trust me, if you just started anesthesia as your field of choice, your consultants always come at the right time.especially when we anticipate something to go wrong.
I had emergency surgery once, and I was upset as I had just eaten a large meal. I kept telling everyone "I have a full stomach of food! I can't have surgery!" Well, they kept assuring me, the anesthesiologist would take care of it. Now I know how they took care of it!
If it was a emergency surgery you probably should remember getting the gastrical tube, because with a full stomach, you do this before inducing the anesthesia, not after.
@@lemboshauser4700 they didn't do that while I was awake before my emergency cesarian 🤷♀️
@@lwolfstar7618 because it was a emergency cesarian. No time to loose. But a emergency surgery can be everything, you just can't wait 6hrs after the last meal :)
@@lemboshauser4700 to be fair they also didn't get a chance, between contractions I grabbed the mask and took the mother of all inhales and blacked out on the spot lmao
@@lwolfstar7618 because this is a real emergency. There a different levels of emergencies where your different amount of time To prepare the patient and make general anesthesia safer for him. There are basically not many ones where it is like in a emergency cesarian section.
I always get Mt, Sinai and Cedar Sinai hospitals mixed up. I also have wondered for years what you do after the patient is asleep. The TV is always misleading. 😊 You certainly teach me a lot! I’m probably gonna be much more talkative to the next anesthesiologist and telling them about your UA-cam channel.😀
Woah, loving the new logo
Thanks Ryan!
You provided a lots of insights
Fast and interesting presentation of applying anesthesia
That was very entertaining & explaining to us reg folks & pre med idiots what needs to happen prior to surg....thank you.
Love the new logo Max!
Your camera quality is EPIC
Your video really enlightened me what I went through under GA when I had to go through with two surgeries within a period of 6 weeks. Both time I was reminded to keep breathing after I woke up .
Really interesting!!! Thanks Dr F! I always enjoy your videos.
Do you sometimes work with a respiratory tech? I ask as during one of my surgeries, there was one and we were chatting a bit. Again, so interesting! She was the one that put the mask over my nose and I "fell asleep." The anesthesiologist was also there.....he asked what music I'd like to drift off to!! Smooth jazz.... it really makes a huge difference when the medical team treats you as a person and not "just" the next surgery.
Cheers from 🇨🇦👍😊
THE doc F :) the original one!!
I always wait for ur video.Hope next year I be able to pass anesthesiologist PG induction exam.cheers.
Best of luck!
Hi Dr Max, hello from Brisbane Australia. I really enjoy your videos ! You seem really confident and l would feel very comfortable having you as my anaesthetist, as we refer to you here. Best wishes for your future career.! Barbara
Wow no newspaper lol. Our town passes them out every weekend. No one ever reads them they eventually turn to pulp on the sidewalk 😂. My parents actually read them though. Great vids keep it up !
Logo looks Great 👍 Love your Video’s!
Another great reason for being diligent watching a patient's to temp if there's a personal history of malignant hyperthermia. When I worked in surgery, we always had an MH cart in the room just in case. Dantrolene is a wonderful thing if something happens...
isn't MH a rare condition? always having a MH is so unusual according to my textbooks!
Can I ask you a stupid question? Is it true that they often put in a rectal thermometer during surgery or do they place it elsewhere? Just morbidly curious.
@@intrepidtomato where you would like it?
Max, you are adorable. I am watching these videos after having had shoulder surgery a few weeks back. I am finding them very interesting!
GREAT video.!!!!❤
Thanks I work Doing OR nursing assistant and I’m learning about anesthesia tech at work this videos it helps me a lot greetings ,it helps me because I not need to bother no one
I LOVE a bair hugger. When the patient’s unconscious I’m sure they’ll let me have a corner.
Hey Doc, I love your channel! I am convinced if I would have had my first surgery at a young age and seen the awesome team work that goes on in the OR, I would have become an anesthesiologist. I just had my first surgery. The gasses made my throat and head burn before I went out. I wonder what they were.
Educational & fun. Well done. You should write a book too, Anaesthesia 😁 after all, you have the ideal sponsor. No but seriously you must have so many stories to share!!!
Dr Max is the bomb!
I had to have eye surgery a while back and the anesthesiologist was wonderful. (They all were honestly.) We were all joking around until i passed out.
LMFAO still dreaming of that CT donut. Great video. Love the humor.
I LIKE YOUR NEW LOGO😷 HAVE A FABULOUS WEEK!! GREETINGS FROM BEAUTIFUL SAN DIEGO🌴
Hi Dr. Feinstein,
Can you please do a video of post spinal/epidural headaches? Thanks!
Great video, and I really enjoy your videos. Sadly not all Anesthesiologists are like you. I have been awake unknown to the Anesthesiologists, even if I had told the Anesthesiologists that I had Anesthesia awareness, and what goes on post induction is grotesque and irresponsible.
I am like a horse, despite my 155cm. The meds take longer to kick in, or work less and i wake up in a blink. So, I ve :ben thru: intubations and extubations.... not nice.... very not nice grrr
I admire your intelligence ❤️
Thank you for your work on identifying sex-differences between men and women in presentation and outcomes in myocardial revascularization!
LOVE THE BEAR HUG. ive had a lot of surgeries and i love that thing
I am so glad to know I have never been just laying there freezing
B explains why I always feel so cold after surgery!
I continue to learn more from you than my brother Ron who is an anesthesiologist. Somehow in the future, you two have to get together and discuss what happens in a complicated case like a heart/lung transplant
I had a nice chat over email with him, thanks for connecting us!
What happens when a patient already has a tube going from their nose to their stomach? Do you leave that one in? I ask because I had one in my nose till surgery and when I woke up after surgery, it was gone
Thanks Doctor for this another interesting video.
A question: why is it necessary to keep the patient warm? I was thinking the opposite...
Hi Doc Max, love the new logo. Ha Ha needles ah terrified. Wish you were here in the UK. Would be happy to be put out if my anesthesiologist was as good looking and fun like you are. Phew you can breathe a sigh of relief I am a young oldie of 68 years on the mileage. Hoping all my bits and pieces keep in good working order for a good while yet.
Love your videos! They are informative yet funny! What role does a nurse anesthetist play in your day to day? Just wondering…
I had major surgery done recently and wow the cost to pay the anesthesiologist is higher than the cost to the surgeon. I was so shocked, haha. The bear hugger is so nice. I got to use one in my recovery and for a few days. My surgery site has to be be kept warm. Thank you wonderful medical science and wonderful medical professionals!!! I am eternally grateful!!!
They deserve every penny, there smart and one mistake your dead
@@Ink30 Well yes I agree LOL.
Helpful video Max, thanks for posting.
Wonderful video! I have a question for you how often do you deal with patients who have Autonomic Dysreflexia?
Hello doctor can you please make a video about how we wake somebody up after anesthesia
Very interesting. I found general anesthesia to be completely fine, but understand peoples concerns. Since switching to RSI protocols in EMS, I admit I’m not a technician that is ‘happy’ using RSI pre-hospital, but that’s the way EMS is moving. (Talk about being on top of ones game, least you all have a controlled setting, try it in a vehicle that is half way down an embankment or a moving ambulance hehe)
Thanks for explaining this. I recently had surgery at UCLA in Los Angeles and remembered to ask for bubble gum flavor for my pre oxygenation mask you mentioned in a previous video! It smelled so good as I drifted off to sleep! 💤.
Yeah, adults should also get something that doesnt taste like crazy glue.... in the Netherlands, my son got operated on in 2018; they explained to him that the "air" comming from the mask could taste strong... so in NL not even the kids get bubble gum? :(
I come from a long line of doctors, and I've heard most of them tell me that "It's the anesthetist's surgery. They're the boss. What they say, goes."
You should do on about the steps of induction
Love the logo.
Is it normal for my taste being off (nothing tastes right) after surgery and if so how long does it last? In November I had 2 stints replaced, December i had a quadruple bypass and last week I broke my hip and basically everything tastes off
Do you want to wake up an anesthesiologist
Say “closing” .😂😂😂😂😂
Hahaha that's pretty good
Thanks for adding actual captions for the Deaf
I'm sure I don't have enough information to give for a good answer but I have a question. When I had a roux en y bypass in 2003 I woke up to the nurses saying I was super blue. I freaked out because my biggest fear was waking up on a vent. Turns out I was physically blue, I aspirated the dye the surgeon used to check for leaks in my new stomach. Did I probably just vomit at some point? It never came out of my hair and just grew out. that stuff doesn't mess around. Thanks!
You can add centigrade to the C part of your mnumonic
I love your cap or hat thing, whatever you call it! 😍
Thanks I got it from a company called Tack!
I love you videos
I like your cap, it's so cute.
I didn’t know the alphabet posted ads on UA-cam! Keep up the great work! 😊
Dr Max! Do you answer personal questions? I’ve had many surgeries with general anesthesia with no complications. I am a cardiac patient having a c5-6 cervical disc replacement and spinal decompression. Any suggestions I am very nervous.
In London we read Metro and Evening standard between Monday to Friday during our commute to and from work. Both are free....more than our NHS.
I’m a CRNA. Don’t believe we will be “taking over” . It is a team effort to ensure patients receive excellent care! We all have our strengths and weaknesses, and need to work together to keep patients safe.
It's good that you aren't trying to take over and just want to be an effective member of the team. There is a very vocal minority of CRNAs that will do anything to replace doctors and get rid of CAAs
@@mustang8206 facts
Just fyi, if you are putting a phrase in quotations, the perils belongs BEFORE the final quotation mark, and not after it.
Thanks 😆 Didn’t proof read due to the fact that it’s UA-cam. Are you guys Anesthesiologists? If so, cheers! Thanks for all you do!
Conner Broeker, yes it is unnecessary to act that way. We all have our part in the care of the patient. If we keep that in mind with the patient being the priority, all is well. Anesthesia really is an awesome job if we can all work together effectively, and push the political stuff aside.
How do u administrator all the tubes and medications which are usually administered through mouth in oral surgeries
I always love when this one pops up :)
I need ppl like you. I have croup. If only I got the rev . I 'm one of those. Anaphylaxis .
Hey we have that vent in some of our ORs here.
What types of changes in vitals would you expect to see if your patient goes into anaphylaxis?
(Asking as someone with several medication allergies including some meds you might commonly administer.)
Tachycardia, hypertension, hypercapnia, hyperthermia, increased airway pressures. And I’d also be looking for a rash on the patient’s skin.
...not HYPOtension...? When i get a reaction, i need to use epi, to raise mybp so i can get up...
Hi Dr Feinstein! I’d like your view on whether becoming an anaesthesiologist in a few years will be worth it with the huge and ever increasing number of CRNAs these days. Is anaesthesiology a dying field?
I like the new Logo💉
I think you should address the concerns about Crnas taking over anesthsia as it will help anesthsia aspirants get better clarity about what to expect in the near future
This would be an excellent topic!! Discussing what cases go to physicians vs CNRA’s
CRNA’s have been doing anesthesia since the 1950s. Shut up
@@tmercari8807 If only some CRNA's took more pride in their title instead of fighting to be called doctor.
Many years ago I had an A/P fusion that was very lengthy. According to my family, I was cold to the touch and quite pale. The doctor explained that because I was young and fit he was able to really slow down my breathing and heart rate and blood pressure. This also helped reduce blood loss to only two units (which I had previously donated). Is this practice still done? I had another A/P fusion done in 2018 and no one remarked that I was cold or pale.
I'm an anaesthetist and I agree with you!😄
Just had anesthesia yesterday bro woke up ready to fight people. Terrible anxiety. First time that happened.
Happens relatively commonly, particularly in younger patients.
I always am violent when waking up, even at 37 years old.